Makenna Wilson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451023752 Issued in MI

Practice address

43740 N Groesbeck Hwy
Clinton TWP, MI 48036-1139

Phone

(586) 817-4623

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mwilson1157890@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Ford Health Eastwood Behavioral Health

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)
• Imex Inc

  • Occupational Medicine Physician
  • Chesterland, OH
  • NPI 1194229427
  NPD (past)
• Moore Counseling & Mediation Services, Inc.

  • Professional Counselor
  • Euclid, OH
  • NPI 1235242280
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1457043267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-817-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29451 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762251",
            "country_code": "US",
            "telephone_number": "248-864-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3622 Prospect Ave E",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152704",
            "country_code": "US",
            "telephone_number": "216-431-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MAKENNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De'Ambra Williams
• Eljonna Williams
• Krystle Williams, R.N., MSN/ED.
• Patricia Ann Willis, M.A.,LLP
• Kelly Wilson, LLMSW
• Jason William Winchester
• Christina Louise Winder, M.D.
• Megan Winkler, FNP-C
• Andrew C Wirebaugh, CRNA
• Daniel Wiseman

• Counselor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.